TESTIMONIALS

for nursing services and at the same time create a testing alternative model for the nurses to remuneration outside their traditional mode of employment. This project will push the boundaries of nursing practice in the Philippines.” - Dr. Josefina Tuazon, UPCN

If you’re interested to join a nurse coop orTel No.one, CONTACT US for help: form (082) 227-4289, 226-2481
Cel. No. 09219027178

LDL Bldg., F. Bangoy St., Davao City

“We foresee that the impact of this initiative will be in the public health realm, in addressing the many health concerns of poor, rural communities.” - Usec. Carmelita Pineda, DOLE Focal Person Project NARS & Project EntrepreNurse “Nurses will not remain employees all throughout their career life, so they must bear the challenges of the economic situation. This initiative will change the face of nursing in the country.” - Mr. Marco Antonio Santo Tomas, BON-PRC “I would like to manifest to all of you that Davao Oriental is giving on all out support for this initiative.” - Gov. Corazon Malanyaon, Davao Oriental “This project is going to be able to serve not just our personal and professional needs but also the needs of our countrymen who need our services.” - Sec. Esperanza I. Cabral, DOH “Each of you will be proud to say, that this project was conceived, was developed, and was born here in Davao City.” - Sec. Marianito D. Roque, DOLE

e-mail: dole11davao@yahoo.com website: www.dole11.net Davao City EntrepreNurse Cooperative Marina Ledesma, Chairman Cel. No. 09177043431 e-mail: neneledz@yahoo.com Health Care

Davao Oriental EntrepreNurse Health Care Services Geofford Montejo, Chairman Cel. No.: 09212703091 e-mail : ford_bodik@yahoo.com Davao del Sur Health Care Services Cooperative Jessamine Dela Peña, Chairman Cel. No. 09285213498 e-mail: jessrussel2002@yahoo.com DavNor EntrepreNurse Service Cooperative Paul John Gabayan, Chairman

INTRODUCING THE CONCEPT OF NURSE ENTREPRENEURSHIP AMONG UNEMPLOYED NURSES TO ACHIEVE PUBLIC HEALTH OBJECTIVES

WHAT CAN YOU DO TO HELP?
SEND two or three or a hundred nurses for six months to a poor rural community and see the tremendous impact. ADOPT a nurse cooperative and help sustain the mission of hundreds of public health advocates. DONATE to a nurse cooperative. OUTSOURCE the delivery of your health care services to a nurse cooperative.

Cel. No.: 09202606917 e-mail : pauljohngabayan@yahoo.com Comval Nurses Health Care Cooperative Elizar Bulac, Chairman Cel. No. 09283539966 e-mail: metallicates24@yahoo.com Services
An initiative of DOLE, collaboration with ProjectUPCN, OHNAP andin other government Description DOH, PNA, BON-PRC, and nongovernment entities, and academic institutions to promote nurse entrepreneurship in the Philippines: to reduce the cost of health care for the country’s indigent population by bringing primary health care services to poor rural communities, to maximize employment opportunities country’s unemployed nurses and for the

OR CONTACT YOUR NEAREST DOLE REGIONAL OFFICE

to utilize the country’s unemployed human resources for health for the delivery of public health services and the achievement of the country’s Millennium Development Goals on maternal and child health, consistent with the Fourmula One for Health framework of the Department of Health.

Project Beneficiaries

HMO members, PhilHealth members, self-paying patients, convalescent patients, patients needing longterm treatment, elderly, occupationally disabled, identified poor rural communities, and unemployed nurses.

population is even more worrying: Compostela Valley has only 1 government doctor for every 49,666 population and one government nurse for every 40,353; Davao del Norte has one doctor for every 53,924 and one nurse for every 27,832; Davao Oriental has one doctor for every 49,189 and one nurse for every 32,793; Davao del Sur has one doctor for every 49,189 and one nurse for every 32,793; Davao City, the regional center, has one doctor for every 73,484 and one nurse for every 39,891. Therefore, the deployment of nurses to poor rural communities in these provinces is an urgent need. On the other hand, the oversupply of registered nurses in the country, now estimated at 150,000, resulting from the boom in the number of nursing schools and the spike in nursing enrolment from the 1980s to 2008 (there has been a 17% drop in enrolment for 2009) has brought home the issue of how to provide employment opportunities for our unemployed nurses. The DOLE’s Project NARS Department of Labor and Employment (DOLE) – Provide overall has provided temporary employment for 11,000 nurses all over the management and direction and provide financial assistance in the country in 1,000 poverty-stricken municipalities. the latter will use as form of grants to nurses’ cooperatives which

FORMS OF NURSE Hospice, domiciliary and healthcare ENTREPRENEURSHIP management

facility

ARTICLE VI, RA 9173 LEGAL BASeS NURSING PRACTICE
Section 28. Scope of Nursing. - A person shall be deemed to be practicing nursing within the meaning of this Act when he/she singly or in collaboration with another, initiates and performs nursing services to individuals, families and communities in any health care setting. It includes, but not limited to, nursing care during conception, labor, delivery, infancy, childhood, toddler, preschool, school age, adolescence, adulthood, and old age. As independent practitioners, nurses are primarily responsible for the promotion of health and prevention of illness.

Implementing Entities and Theirshall also start-up capital. The DOLE through its regional offices assist the organize themselves into cooperatives or Principalnurses register themselves with the appropriate Roles associations and
government authority. Department of Health (DOH) – Lead in the formulation or reform of health policies in support of this initiative, including referring patients to the project’s nurses’ cooperatives.

Public health advocacy Home health care services Outsourcing public health delivery for LGUs, NGAs, and other government institutions Medical transcription services Health care training management Emergency medical services Tourism health care services Wellness and fitness management for private companies Outsourcing health services for private establishments per Labor Code requirement Medical mission management for private companies and LGUs Periodic physical examination of workers for private companies PROCESS

Article V, RA 7164 NURSING PRACTICE
Section 27. Scope of Nursing. - A person shall be deemed to be practicing nursing within the meaning of this Act when he/she, for a fee, salary or other reward or compensation, singly or in collaboration with another, initiates and performs nursing services achieve public health objectives This initiative aims to to individuals, families and communities in various stages of unemployment toward the and at the same time address the development problem of promotion of health, prevention of illness, restoration of health, licensed nurses in the country. The strategy is to encourage and alleviation of suffering. and manage nurses’ clinics, under nurses to form cooperatives the supervision of trained and experienced nurses, which will deploy newly licensed nurses to poor rural communities with little or no access to basic health care and with substantial populations of sick, elderly and disabled patients. These services will be compensated by the LGU, Philhealth, HMOs, by the patients themselves on a per visit basis, or from grants from local and foreign donors. Congressmen’s and Senator’s Priority Development Funds shall also be tapped.

FLOW

Philippine Health Corporation (PhilHealth) – Upon approval of its Board of Directors, shall modify its rules to include home and rehabilitation services as part of its package of benefits for Philhealth members and pay for or reimburse home health care services of nurses’ cooperatives registered with the CDA under this Project. Board of Nursing-Professional Regulation Commission (BONPRC) – Promote nurse entrepreneurship among the country’s nursing students and schools and research on the feasibility of including nurse entrepreneurship in the BSN curriculum; Design and implement an Enterprise Development Training Course for nurses’ cooperatives in partnership with the Cooperatives Development Authority. University of the Philippines College of Nursing and Philippine Nurses Association (UPCN and PNA)– Research and formulate costing standards that our nurses’ cooperatives can use as guide in fixing the cost of their services; formulate metrics in evaluating socio-economic impact of the project on public health in pilot communities and conduct evaluation using the same metrics. Philippine Nurses Association (PNA) – Shall promote the concept of nurse entrepreneurship among its chapters and members and help obtain funding grants from abroad, particularly its overseas chapters. Occupational Health Nurses Association of the Philippines (OHNAP) – Refer qualified patients from their company-based clinics to the project’s nurses’ cooperatives; and train nurse cooperative members on basic occupational safety and health for nurses Cooperatives Development Authority (CDA) – Shall register nurses’ cooperatives and train them on cooperativism. Insurance Commission (IC) – Shall promote the Project among HMOs to include home health care as part of its package of benefits for their HMO member.

RATIONALE

Quality health care is an expensive option for most Filipinos, many of whom do not have health insurance. The popular saying, “Bawal Magkasakit” is not only an attempt at dark humor but reflects a reality that the overwhelming majority of Filipinos simply cannot afford quality health care. The data from the HMOs is that only less than 15% of the population have health insurance. The rest pay for health care services either out of pocket or through the Philhealth. In 2002, the World Health Organization estimated that of total health expenditures in the Philippines, 47.5% is out of pocket. Beyond the issue of the high cost of quality health care, access to primary health care is also a problem amongst poor rural communities. In one report of one of our nurses under Project NARS, a pregnant woman died under his watch simply because the upland town lacked oxygen supplies. The Philippines has one of the worst health manpower to population ratio in Asia. In 1999, our ratio of one doctor per 9,689 population is only slightly better than Cambodia’s 9,997,

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